The initiative was launched in a ceremony chaired by the Health Secretary, Dr. Jorge Alcocer Varela, and attended by PAHO/WHO, medical societies of cardiology, the Mexican Social Security Institute (MSSI), the Institute of State Workers Social Security and Social Services (ISSSTE), and academic institutions. Following the launch, training began for teams of trainers in the first five states to implement the initiative: Chiapas, Sonora, Campeche, Tabasco, and Yucatán.
OVERVIEW
HEARTS is the most important global initiative for the prevention and control of cardiovascular diseases (CVD), with special emphasis on the control of hypertension and secondary prevention in primary health care. HEARTS is spearheaded by the World Health Organization involving various global actors: including the Centers for Disease Control and prevention of the United States (CDC) and the Initiative Resolve to Save Lives, the International Society of Hypertension and Nephrology, the World Hypertension League and World Federations of Diabetes and Heart.
In the Region of the Americas, health ministries in Argentina, Barbados, Chile, Colombia, Cuba, Panama, Ecuador, Saint Lucia, Trinidad and Tobago and the Dominican Republic, Peru and now Mexico are leading the initiative with the support and technical coordination of PAHO/WHO. In this framework, a series of activities for the implementation of HEARTS in Mexico were scheduled from February 18 to 20, workshops, technical and political meetings were held to ensure the activities of the initiative.
The Global Hearts Initiative comprises the MPOWER package for tobacco control in line with the WHO Framework Convention on Tobacco Control, the ACTIVE package for increasing physical activity, the SHAKE package for salt reduction, and the REPLACE package to eliminate industrially-produced trans fat from the global food supply. These packages facilitate the implementation of the initiative and catalyze the realization of the objectives and goals related to non-communicable diseases.
Objectives
To train the trainers of the national HEARTS implementing teams by presenting the state of the art in the prevention and control of cardiovascular diseases and the new tools developed by the initiative, including the HEARTS technical package
To share best practices and challenges resulting from the implementation of HEARTS in the Americas
To contribute to the expansion of HEARTS in the Region by promoting the incorporation of mexican states.
PRESENTATIONS
Sesión 1
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Estrategias del Programa de Salud en el Adulto y en el Anciano
Dra. Laura E. Gloria, Directora de Programa, CENAPRECE
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Avance de país y plan de acción para la implementación de HEARTS
Dr. Miguel Angel Díaz, Médico Especialista, CENAPRECE
Sesión 2
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Herramientas para la implementación: recursos de HEARTS en línea
Dra. Gloria Giraldo, Especialista en Enfermedades Cardiovasculares, OPS
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Las experiencias de Sonora en la fase de pre-implementación de HEARTS
Dr. Miguel Angel López
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Las experiencias de Chiapas en la fase de pre-implementación de HEARTS
Dr. Elías Rafael González
Sesión 3
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El protocolo estandarizado de tratamiento es el corazón de HEARTS. Paso a paso en la selección de los medicamentos antihipertensivos. Las combinaciones a dosis fija
Dr. Donald DiPette, Consultor TEPHINET-HEARTS
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Implementación de un protocolo de tratamiento estandarizado, que incluye organización, flujo de trabajo, monitoreo y evaluación: una perspectiva de Kaiser Permanente
Dr. Jeffrey Brettler, Kaiser Permanente, Consultor de HEARTS
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Intervenciones sobre estilos de vida saludable
Dr. Daniel Piñeiro, Consultor HEARTS
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El trabajo en equipos. Cambiando el paradigma
Dra. Gloria Giraldo, Especialista en Enfermedades Cardiovasculares, OPS
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Aprendiendo de Panamá en la implementación de HEARTS
Dr. Jorge Victoria, Asesor en Enfermedades No Transmisibles y Determinantes de Salud, OPS/Panamá
Sesión 4
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Cómo construir un consenso para adoptar y para mejorar un protocolo estandarizado para el tratamiento de la hipertensión
Dr. Donald DiPette, Consultor TEPHINET-HEARTS
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Mecanismos prácticos para reforzar la implementación exitosa de un protocolo de tratamiento
Dr. Jeffrey Brettler, Kaiser Permanente, Consultor de HEARTS
Sesión 5
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El sistema de evaluación y monitoreo es el cerebro de HEARTS. Las claves de la evaluación de HEARTS. Variables e indicadores
Dr. Andrew Moran, Resolve to Save Lives
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Como vamos a implementar HEARTS: La nota técnica 1 y el mapa de ruta de HEARTS
Dra. Gloria Giraldo, Especialista en Enfermedades Cardiovasculares, OPS
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Kaiser Permanente: Las claves de un programa exitoso y sostenible
Dr. Jeffrey Brettler, Kaiser Permanente, Consultor de HEARTS
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HEARTS y los puntos de encuentro con otras iniciativas globales en la prevención cardiovascular
Dr. Daniel Piñeiro, Consultor de HEARTS
